Patient Satisfaction Survey

Columbus: 614-451-0446

Newark: 740-522-3331

Zanesville: 740-453-9545

Mansfield: 567-560-2051

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Patient Satisfaction Survey

PATIENT SATISFACTION SURVEY

Patient Satisfaction Survey

Date of service:

Location:

Practitioner:

Free Text

Please indicate your agreement with each of the following statements:

I could schedule an appointment that was convenient to me.

The receptionist treated me with respect.

The waiting area was comfortable.

I was seen in a timely manner.

The practitioner treated me with respect.

The practitioner spent enough time with me.

The practitioner treated me with respect.

The practitioner answered all of my questions.

The practitioner listened to all of my concerns.

The practitioner involved me in my treatment plan.

The practitioner advised me on the way to avoid future problems.

The practitioner instructed me on how to take care of my skin in the affected area.

Overall, I am satisfied with the services I received from my practitioner.

How likely is it that you would recommend us to a friend or colleague?

Not at all likely - 0

1

2

3

4

5

6

7

8

9

Extremely Likely - 10

Please provide additional comments below.

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Home
Prosthetics
Orthotics
Spinal Braces
Pet Prosthetics & Orthotics
Your Practitioners
Patient Resource Center
Patient Satisfaction Survey
Locations
Contact Us

CONTACT INFORMATION

Capital Prosthetic & Orthotic Center, Inc

Phone:

Columbus, OH - (614) 451-0446

Mansfield, OH - (567) 560-2051

Newark, OH - (740) 522-3331

Zanesville, OH - (740) 453-9545

Hours of Operation

Mon - Thu: 7:30 am - 4:00 pm
Friday: 7:30 am - 12:00 pm
Sat - Sun: Closed

On call service 24 hours a day

7 days a week. 1-800-215-0764

PAYMENT METHODS

Visa Payment Accepted

MasterCard Payment Accepted

Discover Payment Accepted

American Express Payment Accepted

Cash Payment Accepted

Check Payment Accepted

Debit Payment Accepted

Credit Card Payment Accepted

Financing Payment Available

Capital Prosthetic & Orthotic Center, Inc. BBB Business Review

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